Does a Neurologist add value for those with Ataxia?

This may seem like an odd question, but I am wondering if any of you have received care or advice from doctors that help you in dealing with Ataxia. Unfortunately, I have learned so much more about ataxia, vertigo and migraine conditions from research articles and support groups on the Internet than my physicians. From what I have read, there is basically no cure for ataxia with the exception of gluten free diets that work for some and Acetazolamide that works for others. With such limited treatment options for Ataxia and so much ignorance in the U.S. medical community regarding Ataxia I'd love to hear about beneficial care you have received. Also appreciate recommendations for any Neurologists familiar with Ataxia. (I live in Connecticut)

Admittedly, I have wasted a lot of time with doctors who either labeled me as a head case or had no clue about what was wrong with me. My case may be a bit unique as I initially presented with vertigo, chronic headaches and migraines, poor balance, and blurred, hard to focus vision that made it very difficult to read. The Ear, Nose and Throat doctors concluded it was a central neurological condition and the neurologists concluded it was an inner ear problem, or Menieres. Happily, I started on a Gluten free diet 10 weeks ago and my headaches have started to improve significantly. I plan to stick with this diet but are there any other treatment options out there to slow the ataxia?

Thank you,

Jeff (Buffalo Bill)

Ignorance is the right word,- and on they same time claiming the exclusive competency to diagnose and to treat you.

I know only one neurologist, - he is living in Austria, from whom i think that he would be able to really understand people with Ataxia and other movement disorder, because he himself has got a tic disorder. This condition although he apparently has been able to suppress some symptomes in the public, has supposedly costed him his scientific career, actually not working for an university hospital, but as a private neurologist/psychatrist, psychotherapist from first Psychodrama and now the Jungianian school, and - for breadwinning as an employee of an state insurance. I think the problem is in the fact, that mainly or only Universities can conduct research, and someone not belonging to the university staff would not be able to conduct studies or participate in them. Universities are in possession of the datas of the patients, who come to them for studies and regular treatment the ambulance of the neurologic department of the university clinics you can have contact to Ataxia - Patients. Also furthermore then, with some experience with the disorder, act in patient groups/forums as an adviser.It s a little bit sort of inbreeding.

Seemingly there are not existing enough neurologists interested in treating Ataxias. Yesterday i phoned with the chairperson of a parkinson self help association - she reported the same from this disease.

When a neurologist is not able to learn from his/her patients and to devote a considerable time to study the scientific papers, he/she would never get known as a specialist for Ataxia. Also the new genetic approaches seem not to be known by many neurologists/psychiatrists, who have studied centuries ago and are now in some job which occupies the whole energy and time for them. They would not begin to study Moleculargenetics, i suppose.

But in your case, as far as i see it with my limited knowledge, there are existing several treating centers who could help you to improve your condition by school-medicine.

Have you already read the main informations about Cerebellar Ataxias available mostly free in the Web? Can you do this? You will meet some of your symptoms. And then you can try to find out: How can these symptoms be treated by school medicine in the state of art? In some details you might be sucessful in finding a solution . e.g. Magnesium substitution - to present to your doctor, even if its not a specialized center...

Good luck,

Margarete

I am in UK in a small village in Yorkshire and when I moved here I had to tell them what Ataxia was! The Neuro at nearest city hospital had not seen a case like mine. It took me about 6yrs to get a confirmed diagnosis cos I can't travel due to severe travel sickness i get from vestibular issues. (makes me feel very sick and disorientated).

They eventually brought in a specialist from somewhere else and I managed the journey to the nearest hospital to get a diagnosis though ti took me 2 days to recover from the trip!

I have done my own research mostly and stumbled across a theory intended for Parkinsons patients with Dyskinesia (involuntary movement) but has worked for me also as I have this symptom as part of my Ataxia.

As I've taught myself everything I know about it my neuro has been little use!

Generally speaking It is my believe (fed by experience) that neurologists think in large and severe symptoms that match the statistics. In case of mild, fluctuating or not yet visible/measurable symptoms they tend to ignore all possibilities. I must say that my latest neurologist is different! (he's actually a neurosurgeon)

He never say's: no positive lab tests so nothing going on, no he say's: if it doesn't show in the lab results it doesn't mean that it's not there. And that makes all the difference, keeping the options open for the patient is clearly hindered by certain symptoms.

It would be pointless to name him here because he works in the Netherlands and the question is aimed at US patients.

We all seem to have common symptoms and some others that maybe unique to us.

My Neurologist is at the one of the specialist Ataxia centres but he seems mystified by the rapid progression of the disease.

He seems to have lost interest as he can't find a genetic link.That might be just me but I feel a fraud .

The phsiotherapist who saw me today was surprised at my upper limb co ordination but my speech is very difficult and my walking is very bad ie I can;t walk outside and furniture walk inside. I am very confused as I have some of the symptoms but not all. I feel in limbo land.

My doctor is very good and doesn't knowww much about Ataxia but he swiftly refers me to all the services.

Nothing has lessened the symptoms so far.

Hi,
My actual symptoms started in March 2010 and went to a GP with my MRI of the spine and brain. Spine showed disc bulge. Nerve conduction tests revealed LumboSacro radiculopathy, Bilateral. She said I am ok and is psychological ! Symptoms getting worse and went to,a neurologist. He diagnosed as C.A but was unsure. Now a second opinion runs that it is a L5and S1 nerve pinched in the spine and I need to change the line of treatment! I live in India and seriously thinking of seeing a different neurologist! I got more information from the global network than from my doctor.

Apart from the other issues raised in this thread so far, I picked up on two very important facts about ataxia. Facts that seem to be true in many cases!

The first fact is quite simply that there is a lot of perceived or, indeed, apparent ignorance in the medical community regarding ataxia. We need only read this thread to see that is so - I ask readers here to look at other threads on this site and around the web to see further proof though. To be fair, the people that have been involved with finding out what is wrong with me have been very good and tried their best to be helpful. However, out of the three physios, many nurses, at least four GPs and other medical professionals I have talked to about my ataxia non new what ataxia was until they came in contact with my case. Thankfully the two neurologists I have seen do have some idea about ataxia - even they say there is nothing they can do but observe me (once a year I go to visit a neurologist) though.

I found out that I was seen as having ataxia by accident - a GP had written it on a medical certificate I had to pass on to benefits authorities. When I asked the GP what ataxia is he said something on the lines of 'We do not know!'. Talking more with the GP established that he actually meant two things by the comment - that the surgery team had no knowledge of ataxia and that, in some cases, 'ataxia' is used as the description when there is an obvious health problem with the patient but there is no 'solid' diagnosis or evident cause. The GP said that mine is a very interesting case and the whole medical team would be interested in following it to learn more about ataxia. So there is at least that! I too have found out most of what I know about ataxia from forums and the net in general but would be happier if doctors knew more than me about it!

The second fact is the 'fraud' issue. More correctly, the issue is of patients with ataxia - especially 'undiagnosed' (no - really) or not genetically proven ataxia can feel that they are guilty of some kind of fraud. I have experienced this feeling of being a fraudster when I am clearly not and have read around the net of others with ataxia having similar feelings.

To look at me, some seem to think that there is nothing wrong with me as, before I try to get up or walk about, I have no outward signs of disability (some people cannot even see a walking stick held in plain sight). I have been asked to give up a disability seat a few times and had to show my 'registered disabled' card to prove myself disabled! (Even then the card was questioned!)

I often feel that I want to go out on a long walk, ride a bike, go back to my work in a warehouse (heavy lifting) and do other things that I used to do without problems. Sadly, I cannot. Sometimes, I feel 'fit as a fiddle'. Sadly , I am not. Sometimes, I feel like a fraud when I feel that I want to do those things but know my abilities have changed pr when others do not see my problems and assume there is nothing wrong with me or go so far as to make the accusation to me. Gladly, I know I am not a fraud.

Back to the 'odd'* question; 'I am wondering if any of you have received care or advice from doctors that help you in dealing with Ataxia'. I have had lots of advice ranging from 'try to keep active' to general well being advice to 'change your diet a little' to pain management (I get a lot of shoulder, lower back and general muscular pain) to advice about sleeping well. The thing is, this advice is always short or 'in passing' and not longer or more focused or session based! I was going to physiotherapy for about a year or so but stopped when the physiotherapist said that apart from the movement and exercise advice given, there was really nothing more that he could do for me - I was told I could make further appointments with him as and when needed if things got really bad though.

Anyway, it's been a good hour since I started this wall of text and I have a lot of pain across my shoulders! So, I will take a rest before checking out some more threads in this forum.

Best wishes, stay safe!

*There are no bad questions except those not asked - sorry I cannot remember where that quote is from.

Interesting. I have good parts of days when I can walk, bike, swim, etc without canes.

Then, something happens. My leg gives out and I cannot walk without pain or canes.

Gluten plays a role, for sure, but how much?

My cerabellar ataxiawas diagnosed by a neurologist at the Mayo Clinic in Jacksonville FL (I live nearOrlando). Check online for a Mayo Clinic with a neurologist near you I was referred my cardiologist.

Jeff,

I am new to ataxia, although I have been showing signs for twenty-two years. A neurologist in North Haven CT finally diagnosed me with SCA 5 -- a neuro in New Haven dismissed me as not having MS or Parkinsons, and then basically told me to have a nice life.. so my brief experience with neurologists has been disenchanting. At least I have a name to put on this "face," and I am grateful to have found this site. Makes me feel less alone in my ataxic world.

I am headed to Boston for a swallowing study. I hope I might find a neurologist who knows more than the New Haven doctors. It is sad that Yale has no experts in this area.

Will post again if I find more help in Boston.

Wishing you all the best --

Regina aka Ladylocket777

I have wasted a lot of time with Neurologist. I walked into the Doctor's office one day and he asked me why I was walking with a cane. I took that as an insult. That was my last visit. My other Neurologist told me that I don't need to go back because there is nothing that she can do for me. She's probably right. These are supposed to be educated Doctors. My primary physician insist that I make an appointment with a neurologist. He said I should see an Neurologisy at least once a year. I agreed with him. The Neurologist needs to see how you are progressing over time. Afterall. SCA is a slowly progressive disorder. I made an appointment with the ataxia center at USF in January. Hopefuly, they are more sympathic and understanding.

Actually i am, too, very unsatisfied with the actual system, not having found yet a neurologist which i would find compentent and on the same time available/visitable for me. The neurologist in Austria from whom i wrote here in this thread did not answer to my phone calls, and so i will stop to considerate that he would be good for me. Yesterday i was in an neurologic ambulance where for discussing my new EEG. I was told to do another EEG, with sleep deprivation, on Nov 2, and not to return to this ambulance, but to go next to another ambulance, for movement problems in three weeks.. It was not told me why i should get this second EEG, and did not get the paper for the EEG from the neurologist. I asked for it at the reception of the ambulance and the girl printed it out for me. The neurologist also did not know how many hours i would have to be sleep deprived, "they would tell me". The girl on the reception told me then that it was clear that i would have to stay awake for the whole night and then come for the sleep deprivation EEG. One is not informed about the others.. etc. It would be too much to decribe all the actual problems here, because i must go on with my morning duties. Maybe i am a too complicated person. But actually very unhappy with the treating/diagnosing.There seem to me absolutely too few neurologists doing that. Waiting times too long for an actual medicamentation problem. . But in which country would it be better? Seems to be everywhere the same. Have a nice day..Stay strong! Kind regards, Akita

Your right we do know more about our Ataxia then the doctors. The most important is the stretching and moving. You chose the GF diet. So really that is all we can do. I feel when I go to the doctor, Its like I just tell her what I cant do. But I do watch what I say. Because I still need to drive. So that's my goal. I do whatever it takes to keep me driving. And I still am a safe driver.

Lori

James and Akita

Hi, I go to my Neurologist once a year now. Just to check in. There is nothing they can do for us. No treatment. Yes it seems scarey to go But it seems the doctor's are scared to because they cant do anything about Ataxia.. Except too tell us to eat right and keep moving. And to check our swallowing. Akita I really dont understand why you need so many EEG's. It is up to us, to do what is best!

Lori

I agree Akita, There is much research with today's computers. I know far more about ataxia than the Doctors. I lift weights. It's suppose to help with balance, somewhat. I also use the elipiticle machine for 30 minutes 5 days a week. I can't jog outside without falling but I can jog with the elipitical as long as I have something to hold onto.

Lori said:

James and Akita

Hi, I go to my Neurologist once a year now. Just to check in. There is nothing they can do for us. No treatment. Yes it seems scarey to go But it seems the doctor's are scared to because they cant do anything about Ataxia.. Except too tell us to eat right and keep moving. And to check our swallowing. Akita I really dont understand why you need so many EEG's. It is up to us, to do what is best!

Lori

I'd like to hear the theory. For lack of a more plesant way to say it, my family donated my fathers brain to Dr. Arnuld Koeppen of the National Ataxia Foundation. Dr. Koeppen reported that my father had apparently had some Parkinsons. There is obviously some relationship as he never was told that he had Parkinsons while he was alive.



Kati said:

I am in UK in a small village in Yorkshire and when I moved here I had to tell them what Ataxia was! The Neuro at nearest city hospital had not seen a case like mine. It took me about 6yrs to get a confirmed diagnosis cos I can't travel due to severe travel sickness i get from vestibular issues. (makes me feel very sick and disorientated).

They eventually brought in a specialist from somewhere else and I managed the journey to the nearest hospital to get a diagnosis though ti took me 2 days to recover from the trip!

I have done my own research mostly and stumbled across a theory intended for Parkinsons patients with Dyskinesia (involuntary movement) but has worked for me also as I have this symptom as part of my Ataxia.

As I've taught myself everything I know about it my neuro has been little use!

My experience having been to ataxia specialists around the country is: they arenot willing to actually try and offer suggestions to try to help. They offer great emotinal support. I'm seeing a local neurologist Friday because I believe I am at the stage of needing physical therapy and assisstive devices (like a cane). I'm sure she'll be helpful in that respect. So I guess what I'm saying is no help to stop or minimize the ataxia but there is help in dealing with it.

Dear Lori, on of the neurologists who recommanded the second, sleep deprivation EEG, told me that it would be necessary to see if i would show special signs ( of epilepsy or not) when the EEG would record my sleeping in during the EEG, not having slept for a whole night.. I am quite in sorrow about my jerks/myoclonic adds to my ataxia and want to have this disgnosed. It was not my idea to do this now, but the young doctor in the ambulance recommended this, and so i accepted. It s somehow authoritary here. I corresponded whith the EEG-neurologists and one of them answered to me this evening in a friendly way. The outcome of this was that it would not be necessary to stay awake for the whole night. Only standing up earlier in this morning of the EEG and then being somehow dizzy would be sufficient.Maybe i am a little masochistic, too. Don t know. i have often troubles with doctors within in the last few years. But on the other side i heard that this would be the best way to get informations and to survive, and so i feel confirmed. i want to have my diagnoses checked as soon as possible. And then, when possible, live a normal life...



Lori said:

James and Akita

Hi, I go to my Neurologist once a year now. Just to check in. There is nothing they can do for us. No treatment. Yes it seems scarey to go But it seems the doctor's are scared to because they cant do anything about Ataxia.. Except too tell us to eat right and keep moving. And to check our swallowing. Akita I really dont understand why you need so many EEG's. It is up to us, to do what is best!

Lori

Thats great hope all goes well.

Lori

Why not? Lets have phantacies.. Have a good night! (It s now 1.05 a.m. in Austria. Much to late for going to bed, not healthy behavior.)